Individual
MS. VALERIE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
4400 NE HALSEY ST, POP2, 3RD FL, PORTLAND, OR 97213-1545
(559) 312-7621
Mailing address
4400 NE HALSEY ST, POP2, 3RD FL, PORTLAND, OR 97213-1545
(559) 312-7621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
501638
CA
163WA2000X
Administrator Registered Nurse
Primary
201240808
OR
Other
Enumeration date
12/23/2016
Last updated
04/18/2017
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